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Velocity @ Victor COVID-19 Screening
This MANDATORY health questionnaire must be completed prior to attending any practice at Newfane Central Schools or Tonawanda Aquatics Center. If you answer YES to any question you MAY NOT attend practice.
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* Indicates required question
Email address
*
Your answer
What is the Athlete's first and last name?
*
Your answer
Which group or event will you be attending today?
*
Developmental
Intermediate A or B
Performance
Senior Prep
Senior
Coach/Lifeguard
Swim Meet/Clinic
Have you experienced any of the following symptoms?
*
Yes
No
Cough
Difficulty breathing or shortness of breath
Fever
Chills
Sore Throat
New loss of taste or smell
Yes
No
Cough
Difficulty breathing or shortness of breath
Fever
Chills
Sore Throat
New loss of taste or smell
Have you or anyone in your household tested positive for COVID-19 in the last 14 days?
*
Yes
No
Have you been in close contact with anyone who has tested positive for COVID-19 in the last 14 days?
*
Yes
No
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